Most Recent Articles
Dec 15, 2017
2018 E/M and Other Services Cheat Sheet
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*It’s that time of year: the DWC recently announced changes to the reimbursem...
Jul 12, 2018
Acupuncture Remains Payable for CA Work Comp, Despite MUE
The Centers for Medicare and Medicaid Services (CMS) recently released a Medically Unlikely Edit (MUE) designating acupuncture billing codes 97810 through 97814 non-payable, ...
Dec 2, 2015
Physician and Non-Physician Fee Schedule: 2016 Changes to Workers’ Comp Reimbursements
Effective January 1, 2016 every reimbursement amount changes in the Physician Fee Schedule. On Monday the Division of Workers’ Compensation (DWC) posted major revisio...
Apr 28, 2014
Changes to OMFS: Pharmaceutical, DMEPOS, and Physician Fee Schedule
The DWC passed major changes to the workers’ compensation fee schedules, affecting reimbursements for pharmaceutical NDC numbers, DMEPOS, and splinting and casting Q codes. ...
Aug 1, 2018
OMFS Update: Reimbursement Change For Pathology and Clinical Laboratory Services
California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule, bringing the OMF...
Feb 2, 2018
2018 Workers’ Comp Reimbursement Cheat Sheet
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*Here it is: your complete, downloadable go-to resource for California worker...
May 16, 2018
FYI: Workers’ Comp Telemedicine Reimbursed at Facility Rates
In California and elsewhere, telemedicine isn’t just the future — it’s the present. Of course, this shift to increasingly virtual services means unique new wrinkles in the wo...
May 3, 2018
DWC Orders Changes to OMFS Pathology/Clinical Lab Fees
The DWC posted an update order bringing the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule (OMFS) into line with Medicare.The order rem...
Apr 13, 2018
“By Report” Billing Codes: Best Practices for Proper Reimbursement
When the Official Medical Fee Schedule (OMFS) assigns the reimbursement for a procedure code as “By Report” (BR), establishing the correct payment amount is one of the tricki...
Apr 4, 2018
CA Physician Fee Schedule Update Adds New Billing Codes, NCCI Edits
A new order from the Administrative Director of California’s Division of Workers’ Compensation (DWC) updates the Physician and Non-physician practitioner services portion of ...
Apr 6, 2018
Interpreter Fee Schedule: An Imperfect Step in the Right Direction
California’s Division of Workers’ Compensation (DWC) proposed new interpreter fee schedule regulations this week. The changes would create a uniform fee schedule, replacing t...
Mar 15, 2018
Outpatient/ASC Fee Schedule: DWC Issues (Then Corrects) Reimbursements
The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective March 15, 2018. The orders update fees f...